"Care of prematurely born child: when to begin and end?"@en . "J\u00E1nsk\u00E1, Pavla" . "11"^^ . "P\u00E9\u010De o p\u0159ed\u010Dasn\u011B narozen\u00E9 d\u00EDt\u011B: Kdy za\u010D\u00EDn\u00E1 a kdy kon\u010D\u00ED?"@cs . "V pr\u016Fb\u011Bhu posledn\u00EDch 20 let klesla v \u010Cesk\u00E9 republice v\u00FDznamn\u00FDm zp\u016Fsobem novorozeneck\u00E1 \u00FAmrtnost a\u017E na sou\u010Dasn\u00FDch 1,38 promile na 1000 \u017Eiv\u011B narozen\u00FDch d\u011Bt\u00ED. D\u016Fsledkem je tak nar\u016Fstaj\u00EDc\u00ED po\u010Det d\u011Bt\u00ED p\u0159e\u017E\u00EDvaj\u00EDc\u00EDch ran\u00E9 novorozeneck\u00E9 obdob\u00ED. I p\u0159es nepochybn\u00E9 pokroky v novorozeneck\u00E9 intenzivn\u00ED p\u00E9\u010Di v\u0161ak \u0159ada z nich, p\u0159edev\u0161\u00EDm skupina d\u011Bt\u00ED s extr\u00E9mn\u011B n\u00EDzkou porodn\u00ED hmotnost\u00ED, trp\u00ED z\u00E1va\u017Enou perinat\u00E1ln\u00ED z\u00E1t\u011B\u017E\u00ED. Sou\u010Dasn\u00E1 data ukazuj\u00ED, \u017Ee se v roce 2012 v \u010CR narodilo z celkov\u00E9ho po\u010Dtu 107 213 \u017Eiv\u011B narozen\u00FDch d\u011Bt\u00ED 8897 d\u011B-t\u00ED p\u0159ed\u010Dasn\u011B, co\u017E odpov\u00EDd\u00E1 8,3 %. Pot\u0159eba diferencovan\u00E9ho ambulantn\u00EDho sledov\u00E1n\u00ED, l\u00E9\u010Dby a dlouhodob\u00E9 n\u00E1sledn\u00E9 p\u00E9\u010De o tyto d\u011Bti je proto st\u00E1le nal\u00E9hav\u011Bj\u0161\u00ED. V minulosti byla krit\u00E9riem \u00FAsp\u011B\u0161nosti l\u00E9\u010Dby p\u0159ed\u010Dasn\u011B narozen\u00FDch d\u011Bt\u00ED %22mortalita%22 a %22\u010Dasn\u00E1 morbidita%22. V sou\u010Dasn\u00E9 dob\u011B se do pop\u0159ed\u00ED z\u00E1jmu dost\u00E1v\u00E1 st\u00E1le v\u00EDce tzv. %22pozdn\u00ED morbidita%22. Je tak z\u0159ejm\u00E9, \u017Ee nikoliv pouze kr\u00E1tkodob\u00E1, ale p\u0159edev\u0161\u00EDm dlouhodob\u00E1 p\u00E9\u010De o tuto skupinu d\u011Btsk\u00E9 populace p\u0159edstavuje optim\u00E1ln\u00ED p\u0159\u00EDstup. Centralizovan\u00FD multidisciplin\u00E1rn\u00ED p\u0159\u00EDstup vych\u00E1zej\u00EDc\u00ED z individu\u00E1ln\u00EDch pot\u0159eb, zaji\u0161tovan\u00FD na\u0161\u00EDm pracovi\u0161t\u011Bm v\u00FDvojov\u00E9 p\u00E9\u010De, tak p\u0159edstavuje ve sledov\u00E1n\u00ED t\u011Bchto d\u011Bt\u00ED i v\u00FDznamn\u00FD p\u0159\u00EDnos. Hlavn\u00EDm c\u00EDlem je sn\u00ED\u017Een\u00ED dlouhodob\u00E9 morbidity, kter\u00E9 m\u00E1 pozitivn\u00ED vliv nejenom na zlep\u0161en\u00ED socializace t\u011Bchto d\u011Bt\u00ED, ale sou\u010Dasn\u011B zmen\u0161uje negativn\u00ED dopad na celou rodinu. V\u00FDsledky dlouhodob\u00FDch studi\u00ED interdisciplin\u00E1rn\u00ED p\u00E9\u010De z oblasti komorbidit, neurov\u00FDvojov\u00E9ho a psychosoci\u00E1ln\u00EDho chov\u00E1n\u00ED tak p\u0159isp\u011Bj\u00ED k lep\u0161\u00EDmu porozum\u011Bn\u00ED t\u00E9to problematiky a celkov\u00E9mu zkvalitn\u011Bn\u00ED p\u00E9\u010De, kter\u00E1 je t\u011Bmto d\u011Btem poskytov\u00E1na." . . . "\u010Ceskoslovensk\u00E1 pediatrie" . "Korsov\u00E1, Bronislava" . . "Mercelov\u00E1, Jitka" . . "Rau\u0161ov\u00E1, Pavla" . "Ha\u0161kovcov\u00E1, Eli\u0161ka" . "Fleischnerov\u00E1, Alena" . . "Ko\u0161\u0165\u00E1lov\u00E1, Eva" . . "V pr\u016Fb\u011Bhu posledn\u00EDch 20 let klesla v \u010Cesk\u00E9 republice v\u00FDznamn\u00FDm zp\u016Fsobem novorozeneck\u00E1 \u00FAmrtnost a\u017E na sou\u010Dasn\u00FDch 1,38 promile na 1000 \u017Eiv\u011B narozen\u00FDch d\u011Bt\u00ED. D\u016Fsledkem je tak nar\u016Fstaj\u00EDc\u00ED po\u010Det d\u011Bt\u00ED p\u0159e\u017E\u00EDvaj\u00EDc\u00EDch ran\u00E9 novorozeneck\u00E9 obdob\u00ED. I p\u0159es nepochybn\u00E9 pokroky v novorozeneck\u00E9 intenzivn\u00ED p\u00E9\u010Di v\u0161ak \u0159ada z nich, p\u0159edev\u0161\u00EDm skupina d\u011Bt\u00ED s extr\u00E9mn\u011B n\u00EDzkou porodn\u00ED hmotnost\u00ED, trp\u00ED z\u00E1va\u017Enou perinat\u00E1ln\u00ED z\u00E1t\u011B\u017E\u00ED. Sou\u010Dasn\u00E1 data ukazuj\u00ED, \u017Ee se v roce 2012 v \u010CR narodilo z celkov\u00E9ho po\u010Dtu 107 213 \u017Eiv\u011B narozen\u00FDch d\u011Bt\u00ED 8897 d\u011B-t\u00ED p\u0159ed\u010Dasn\u011B, co\u017E odpov\u00EDd\u00E1 8,3 %. Pot\u0159eba diferencovan\u00E9ho ambulantn\u00EDho sledov\u00E1n\u00ED, l\u00E9\u010Dby a dlouhodob\u00E9 n\u00E1sledn\u00E9 p\u00E9\u010De o tyto d\u011Bti je proto st\u00E1le nal\u00E9hav\u011Bj\u0161\u00ED. V minulosti byla krit\u00E9riem \u00FAsp\u011B\u0161nosti l\u00E9\u010Dby p\u0159ed\u010Dasn\u011B narozen\u00FDch d\u011Bt\u00ED %22mortalita%22 a %22\u010Dasn\u00E1 morbidita%22. V sou\u010Dasn\u00E9 dob\u011B se do pop\u0159ed\u00ED z\u00E1jmu dost\u00E1v\u00E1 st\u00E1le v\u00EDce tzv. %22pozdn\u00ED morbidita%22. Je tak z\u0159ejm\u00E9, \u017Ee nikoliv pouze kr\u00E1tkodob\u00E1, ale p\u0159edev\u0161\u00EDm dlouhodob\u00E1 p\u00E9\u010De o tuto skupinu d\u011Btsk\u00E9 populace p\u0159edstavuje optim\u00E1ln\u00ED p\u0159\u00EDstup. Centralizovan\u00FD multidisciplin\u00E1rn\u00ED p\u0159\u00EDstup vych\u00E1zej\u00EDc\u00ED z individu\u00E1ln\u00EDch pot\u0159eb, zaji\u0161tovan\u00FD na\u0161\u00EDm pracovi\u0161t\u011Bm v\u00FDvojov\u00E9 p\u00E9\u010De, tak p\u0159edstavuje ve sledov\u00E1n\u00ED t\u011Bchto d\u011Bt\u00ED i v\u00FDznamn\u00FD p\u0159\u00EDnos. Hlavn\u00EDm c\u00EDlem je sn\u00ED\u017Een\u00ED dlouhodob\u00E9 morbidity, kter\u00E9 m\u00E1 pozitivn\u00ED vliv nejenom na zlep\u0161en\u00ED socializace t\u011Bchto d\u011Bt\u00ED, ale sou\u010Dasn\u011B zmen\u0161uje negativn\u00ED dopad na celou rodinu. V\u00FDsledky dlouhodob\u00FDch studi\u00ED interdisciplin\u00E1rn\u00ED p\u00E9\u010De z oblasti komorbidit, neurov\u00FDvojov\u00E9ho a psychosoci\u00E1ln\u00EDho chov\u00E1n\u00ED tak p\u0159isp\u011Bj\u00ED k lep\u0161\u00EDmu porozum\u011Bn\u00ED t\u00E9to problematiky a celkov\u00E9mu zkvalitn\u011Bn\u00ED p\u00E9\u010De, kter\u00E1 je t\u011Bmto d\u011Btem poskytov\u00E1na."@cs . "Kredba, V\u00E1clav" . "CZ - \u010Cesk\u00E1 republika" . "Kunzmannov\u00E1, Renata" . "Langer, Jan" . . "P\u00E9\u010De o p\u0159ed\u010Dasn\u011B narozen\u00E9 d\u00EDt\u011B: Kdy za\u010D\u00EDn\u00E1 a kdy kon\u010D\u00ED?" . "36007" . "Care of prematurely born child: when to begin and end?"@en . "27"^^ . "1" . . "Chv\u00EDlov\u00E1 Weberov\u00E1, Magdalena" . . . "P\u00E9\u010De o p\u0159ed\u010Dasn\u011B narozen\u00E9 d\u00EDt\u011B: Kdy za\u010D\u00EDn\u00E1 a kdy kon\u010D\u00ED?" . . "\u0160ulc, Jan" . . "Markov\u00E1, Daniela" . . "Klement, Petr" . "Uhl\u00EDkov\u00E1, Petra" . . "P\u00E9\u010De o p\u0159ed\u010Dasn\u011B narozen\u00E9 d\u00EDt\u011B: Kdy za\u010D\u00EDn\u00E1 a kdy kon\u010D\u00ED?"@cs . . . "Kn\u011Bz\u016F, Ev\u017Eenie" . "Over the last twenty years, neonatal mortality in the Czech Republic declined significantly to current 1.38 per 1 000 born alive. As a result, increasing number of babies surviving early neonatal period has been repeatedly reported. Despite significant improvement in neonatal intensive care, many babies are however suffering from serious perinatal morbidity, particularly those with extremely low birth weight. The recent data show that out of 107 213 children born alive in the Czech Republic in 2012, 8 897 of them were reported preterm, which represent 8.3 %. As consequence, there is constantly increasing demand for further clinical investigation, treatment and long term follow up of these children. Centralised multidisciplinary collaborative approach developed in our unit may offer unique approach to improve long term outcome of these children. Further decline in morbidity translates into better socialisation and mitigates negative impact on entire family. Historically, the outcome measures of success of treatment of prematurely born babies were mortality and short term morbidity. Nowadays, it becomes obvious that not only short term but particularly long term follow up provides optimal medical care to ex-preterm children and their families. Detailed long term observational studies provided by centralised approach on associated co-morbidity, future neurodevelopmental and psychosocial behaviour including education abilities will help better understand of natural history and may serve for future medical management and medical care planning in the Czech Republic and beyond. Key words: prematurity, low birth weight infant, long term morbidity, long term follow up, developmental disorders, multidisciplinary collaboration"@en . . "Zlatohl\u00E1vkov\u00E1, Blanka" . . "11110" . . "69" . "end?; begin; when; child; born; prematurely; Care"@en . "Mirovsk\u00E1, Dagmar" . "Ko\u0165\u00E1tko, Petr" . . . "Pt\u00E1\u010Dek, Radek" . . "[D1228EB765DE]" . "10"^^ . "RIV/00216208:11110/14:10293248" . "Smol\u00EDkov\u00E1, Libu\u0161e" . "Fr\u00FChauf, Pavel" . "Zeman, Ji\u0159\u00ED" . . "P\u0159\u00EDhodov\u00E1, Iva" . . "RIV/00216208:11110/14:10293248!RIV15-MSM-11110___" . "Kytnarov\u00E1, Jitka" . . . "0069-2328" . "V" . "Vyhn\u00E1nek, Radim" . . "http://www.prolekare.cz/linkout/48811" . "Vep\u0159ekov\u00E1, Lenka" . .